Individual provider Active NPI

Wayne E. Tasker, LCSW, LPC

  • Clinical Social Worker
  • Morristown, TN
National Provider Identifier
1275526436
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW0000001208 Issued in TN
Practice address
400 W Main St
Suite 109
Morristown, TN 37814-4643
Phone
(423) 581-8844
Fax
(423) 318-3050
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC0000000394 TN
Clinical Social Worker 1041C0700X LSW0000001208 TN Primary

Addresses

Primary practice location

400 W Main St
Suite 109
Morristown, TN 37814-4643

Mailing address

400 W Main St
Suite 109
Morristown, TN 37814-4643
Phone (423) 581-8844

Other identifiers 1

IdentifierTypeStateIssuer
3694688MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC0000000394TNMDProfessional Counselor
LSW0000001208TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Esd Psychological Services Past Accepting new patients
Southern Psychiatric Services Past Accepting new patients
Paradigm Health Services, Inc Clinical Past Accepting new patients
Sallie Early Healthcare Services Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1275526436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST",
            "address_2": "SUITE 109",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378144643",
            "telephone_number": "423-581-8844",
            "fax_number": "423-318-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST",
            "address_2": "SUITE 109",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378144643",
            "telephone_number": "423-581-8844",
            "fax_number": "423-318-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASKER",
        "first_name": "WAYNE",
        "middle_name": "E.",
        "credential": "LCSW, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000000394",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000001208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3694688",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.